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- Cajander, Åsa, Professor, 1971-, et al.
(författare)
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What brings women into ehealth? : Women's career trajectories in digital transformations in health care
- 2020
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Ingår i: Proceedings of the 12th International Conference on e-Health.
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Konferensbidrag (refereegranskat)abstract
- Digital transformation of health care services is addressed world-wide in order to more efficiently meet the patients’ information and health care needs. However, little is known about the people working with this transformation, where two traditionally gendered fields meet; health care and IT. While work with digitalization generally is dominated by men, digitalization of health care services involves a large number of women. This case study explores the career trajectories of women working with the digital transformation of eHealth services. Who are the women in this eHealth project, and how did they come to working with this digital transformation? The analysis shows different types of trajectories that brought the women into eHealth transformations: The first illustrating women who were pushed into working with eHealth by their job descriptions, the second showing women using eHealth as an escape route from something else, and the last trajectory showing how women stumbled across eHealth and decided to stay on. This has implications for the educational system, and points to the need for being able to study computer science later in life. It also calls for a better understanding of what drives women in transformation processes.
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| 2. |
- Grünloh, Christiane, et al.
(författare)
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Patient Empowerment Meets Concerns for Patients : a Study of Patient Accessible Electronic Health Records in Sweden
- 2016
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Ingår i: Exploring Complexity in Health. - : IOS Press. - 9781614996774 - 9781614996781
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Konferensbidrag (refereegranskat)abstract
- BackgroundAs part of a EU project, the Swedish county Uppsala launched a patient portal, Journalen in 2012 [1]. Patients can now access their Electronic Health Records (EHR) online, which is aimed to increase patient empowerment. The medical professionals reacted strongly on patients accessing the medical records. Main concerns were related to quality of care, the effect on their work environment, providing bad news through the eHealth service, and also the wellbeing of patients. While the opportunities of implementing these e-health services seem promising, the concerns of the medical professionals have to be understood and addressed, as well as the actual use of the system by patients. This presentation integrates results from two interview studies with physicians and patients related to patients accessing their medical records online [2,3].MethodThe presented results are synthesis of the interviews studies with 12 physicians [2] and 30 patients [3], which took place about 6–12 months after the launch of the portal. The synthesis presented in this paper focus on Technological Frames [4] of physicians and patients including the attitudes and experiences in relation to possible (1) anxiety creation, (2) increased of workload, and (3) the general value of patients reading medical records.Results Anxiety creation due to receiving bad news. Many physicians believe that breaking bad news to patients during a patient encounter is vital as this would give them the possibility to also explain treat- ments and answer questions. Somewhat unexpectedly, some patients preferred receiving bad news through Journalen instead of waiting for the physicians. The patients argue that waiting times causes more anxiety. The choice of not accessing is also important, as there are patients who do not want to receive bad news before a patient encounter. Workload increases. Many physicians are worried about the work- load of doctors, as reading the medical record online may result in increased number of phone calls because of anxious patients. However, many patients did not tend to take any additional contacts to ask questions. Some of the patients even believe that access to their medical records reduces the number of contacts with healthcare. Usefulness of accessing online. Many physicians are concerned that online access will have a negative impact on the patient such as increased anxiety and misconceptions as they lack understanding of medical terms. Unlike the doctors’ perspective, many patients argue that they do not have major difficulties in understanding the contents. They also argue that Journalen was central to their coping with their decease.Conclusion From this study it is clear that the Technological Frames of physicians differ from those of patients, and that they have different attitudes and experiences towards the system. The intention from the politicians was that the system would contribute to Patient Empowerment, but that framing of the technology differs from the physicians’ view, as they are concerned of the consequences. More research is needed on the framing of the technology and how that has been changed after the launch of the system.[1] Erlingsdottir, G., Lindholm, C. When patient empowerment encounters professional autonomy: The conflict and negotiation process of inscribing an eHealth service. Scandinavian journal of public administration 2015;19(29):27- 48.[2] Grünloh, C., Cajander, Å., Myreteg, G., “The Record is our Work Tool!” - Physicians’ Framing of a Patient Portal in Sweden. J Med Internet Res (submitted).[3] Rexhepi, H., Åhlfeldt, R.-M., Cajander, Å, & Huvila, I. (2015). Cancer Patients’ Attitudes and Experiences of Online Medical Records, 1–8. Proceedings of the 17th International Symposium on Health Information Management Research ISHIMR 2015.[4] Orlikowski, W.J., Gash, D.C. Technological Frames: Making sense of information technology in organizations. Transactions on Information Systems 1994;12(2):174–207. doi: 10.1145/196734.196745
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| 5. |
- Myreteg, Gunilla, 1968-
(författare)
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ERP systems and organizational learning : Where do we stand? A literature review
- 2014
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Ingår i: Proceedings of the 8th European Conference on IS Management and Evaluation, ECIME 2014. - : Academic Conferences and Publishing International Limited. - 9781910309438 ; , s. 155-162
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Konferensbidrag (refereegranskat)abstract
- ERP systems are today implemented in a great number of organizations. Research has invested much energy and time to make descriptions and recommendations regarding how the implementation should best be managed. The next step in practice as well as in research is how to continue to develop the business processes and ERP systems in order to take advantage of all their promises, and to refine how ERP systems are used in day-to-day activities. A starting point for the present study is that organizations today are characterized by strong external and internal pressure. In order to response to and deal with these, organizations strive to balance demands regarding stability and change. This implies that organizations put effort into designing and maintaining or changing practices, rules and routines. Within the general fields of organization theory and management accounting/control the ambition to create deliberate change is often conceptualized as processes of organizational learning (OL). This concept has also been used in the context of ERP systems. The research field is however heterogeneous and findings are scattered and inconsistent. There is a need for further development of our knowledge about the role of ERP systems in processes of organizational learning after the implementation phase. The present paper strives to consolidate and synthesize the current knowledge. The research question is to what extent and how do research conceptualize organizational learning and its interactions and involvement with the ERP system? The paper is a literature review of research on OL in the context of ERP systems. The aim is to analyze and classify previous research, and also to give suggestions for avenues suitable and fruitful for future research. The review compares and contrasts approaches in order to analyze similarities and dissimilarities and to investigate what topics or issues have been addressed by previous research. The analysis shows that overall there is a lack of definitions and stringency in research on OL in an ERP systems context in the post-implementation phase. The final section also forwards some suggestions for future research.
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| 6. |
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| 7. |
- Myreteg, Gunilla
(författare)
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Learning to understand what the ERP system is all about: A literature review.
- 2009
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Ingår i: The Proceedings of the 3rd European Conference on Information Management and Evaluation. - Reading, UK : Academic Publishing Limited. - 9781906638443 ; , s. 339-347
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Konferensbidrag (refereegranskat)abstract
- The purpose of an enterprise resource planning (ERP) system is to bring several benefits to the company by using a mutual database and real time data. Though, empirical studies show that several companies judge the ERP project as unsuccessful. Research has tried to explain why users are disappointed with the ERP system, but findings are scattered and inconsistent. There is need for further development of our knowledge on how ERP systems are viewed and used in companies. Organizational learning (OL) is a concept that has been used in research within the fields of organization theory and management. Still, only a few empirical studies have been conducted on OL in the context of ERP systems. To what extent and how do research conceptualize the ERP system as involved in the organizational learning process? The paper is a review of research on OL in the context of ERP systems: selection, implementation and use. Twelve articles were found in full text. The purpose is to compare and contrast approaches in order to analyze similarities and dissimilarities. The analysis shows that overall there is a lack of definitions and stringency in research on OL and ERP systems. The complexity of the ERP system and how that can be understood, how the artifact functions or interplays with the organization and the organizing process, is seldom discussed in greater detail. If learning in organizations, at least partially, depends on the use of enabling technologies, it would be a worthwhile effort to analyze more closely how, when and why an ERP system can be used in this respect. A major suggestion for future research is that it should be more explicitly engaged with the relationship between OL and the ERP system. Regarding the ERP system as a part of the organizational memory might be a fruitful way to go.
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| 8. |
- Myreteg, Gunilla
(författare)
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Management Controls and Gendering : The Case of eHealth Projects in Sweden
- 2019
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Ingår i: Proceedings of the 2Nd International Conference on Gender Research (ICGR 2019). - : Academic Conferences and Publishing International Limited. - 9781912764167 - 9781912764150 ; , s. 417-423
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Konferensbidrag (refereegranskat)abstract
- The paper reports a qualitative study regarding the possibilities and roles for men and women to participate in the project group when a county council develops and implements eHealth services for citizens in Sweden. We know from previous feminist studies that there are inequalities in the work place. We need to know more about the relationship between management controls and these inequalities. The present paper explores, on a foundation of feminist theory and the notion of the gendered workplace, through a lens of management controls (direct, indirect, and internalized controls), what happens with gender at work, and the inequalities between sexes, when the involvement of women increases in IT based implementation projects. Research questions: How are participants' activities and roles (re-)produced and explained as gendered practice, and how are organizational controls involved in these processes, in eHealth projects in healthcare? Eight interviews were performed with three men and five women coming from three separate eHealth project groups, each from its own county council in Sweden. The study uses qualitative content analysis to explore and interpret the processes. Findings show that since respondents regarded healthcare hierarchy to be the only source for inequalities, gender inequalities were deemed irrelevant. However, respondents experienced that men in search of challenges in healthcare become managers, but that this path was less open to women. Women instead can get involved in development projects, sometimes in the role of project leader. The high complexity of the projects made all three types of management controls unclear and fuzzy. Actors were mainly guided by their curiosity (internalized controls). Rules (direct controls) played less role than recruitment of appropriate project members (indirect controls). Women project members generally contributed with internal healthcare expertise. IT experts were foremost male recruits. To avoid conflicts, county councils adopted variations of a cooperative implementation strategy. Together with the mode of recruitment, this kept back individual female opposition. Despite a big number of participating women, the feminine identity, gendered practices and power relations were reproduced. To reduce gender inequalities, it is important to actively make use of management controls in support of women agency. More research is needed in this field.
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| 9. |
- Myreteg, Gunilla
(författare)
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On the Embeddedness of ERP Systems : An Institutional Analysis
- 2010
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Ingår i: Proceedings of the 4th European Conference on Information Management and Evaluation. - 9781906638726 ; , s. 275-281
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Konferensbidrag (refereegranskat)abstract
- The benefits of IS/IT are often described in literature, and are often expressed as almost unlimited. An enterprise resource planning (ERP) system is an example of modern information technology with several benefits, such as a companywide design, with a mutual database and real time data. An ERP system is said to excel the company in several respects. However, previous research has shown that the impacts of ERP systems are moderate on management accounting as well as on the issue of productivity increases within the organization. Our understanding of why the impacts are smaller than expected is insufficient. This paper is based on a case study of a medium sized Swedish manufacturing company during the process of choosing and implementing an ERP system. The IT artifact is conceptualized as an evolving and embedded system, which is brought into a dynamic social context. The social dimension makes the process of implementing an ERP system complex and indeterminate. A less investigated aspect of these processes is the historical perspective, where literature has suggested researchers to expand the temporal boundaries. In the present study this is accomplished by investigating the process of how the ERP system was chosen, which precedes the implementation. Drawing from old institutional economics a process is seen to depend on previous actions and experiences, but at the same time the actor always has the possibility to act in a new way, causing change. The analysis examine the future users' ideas of what an ERP system is, how these ideas affect the evaluation of alternative ERP systems, and also if, how and why the ideas changes throughout the implementation. The purpose is to develop an understanding of how a new IT artifact is embedded into the social context of an organization, due to the actors' prior experiences of IT. One of the conclusions drawn is that the IT artifact may impact the work and organization in a more indirect or unnoticeable way than researchers might expect.
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| 10. |
- Myreteg, Gunilla
(författare)
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Remembering and Recalling : The ERP System as an Organizational Memory
- 2011
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Ingår i: Proceedings of ECIME 2011. ; , s. 366-372
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The purpose of an enterprise resource planning (ERP) system is to bring several benefits to the company by using a mutual database and real time data. Empirical studies yet show that several companies judge ERP projects as unsuccessful. Implementing and using ERP systems are complex processes. Organizations must decide what information and knowledge about processes, events and transactions needs to be saved in organizational memory (OM), and thereby be accessible for future use. Organizational procedural memory stores knowledge about how to do things in the organization, while declarative memory stores factual knowledge. How are ERP systems involved in the process of creating and maintaining a purposeful data base in an organization? What are the implications of ineffective information processing? What happens when social structures embedded in the organization come to meet with structures embedded in technology? The paper is based on a case study of a medium sized Swedish manufacturing company during the process of implementing and using an ERP system. ERP systems are conceptualized as evolving and embedded systems, which are brought into a dynamic social context. The social dimension makes the process of implementing ERP systems complex and indeterminate. The analysis explores the role of ERP systems for successfully creating and maintaining information stored in OM. Particular attention is paid to obstacles that may occur during the process, and how they affect organizational effectiveness. The purpose is to develop an understanding of how ERP systems are involved in information processes characterized by embedded social structures. The argument is that the aspect of maintenance of information is crucial to realizing the potential of an ERP system, because of the importance to decision making of what information is stored. ERP systems have the technical possibility to store information for a very long time. They will also store incorrect data forever, because they do not discriminate between high and low quality data. ERP systems per se do not create efficient information storage and maintenance. Managers and users need to consciously plan the ERP system as part of OM in order to utilize the potential benefits of the system. To address this need it is important that ERP implementations also deal with organizational, social issues, rather than primarily focus on technological aspects. A technological focus leads to considerations made only in relation to the declarative memory. Organizations need to develop specific procedural memory that concern how to do things connected to ERP system information processing, because the historical procedural memories in organizations do not answer to the needs and tasks connected to this type of ERP system usage.
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